| NPI | 1356478606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT7658) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-02-25 |