| NPI | 1366453789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12088) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204757) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-10-27 |