| NPI | 1356618250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16850) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |