| NPI | 1346548161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5898) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12010) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |