| NPI | 1376640995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5337) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2010-10-21 |