| NPI | 1376760017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-1813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1624PT) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |