| NPI | 1356505978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 0010442) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 003452) |
| 225100000X Physical Therapist (Licence: CT 2481) | |
| 225100000X Physical Therapist (Licence: WA 60003825) | |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2008-07-13 |