| NPI | 1366568057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11091) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22040) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-10-14 |