| NPI | 1366529760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2793) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2118) |
| 225100000X Physical Therapist (Licence: RI 02454) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-06-23 |