| NPI | 1376792358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11627) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |