| NPI | 1386790301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12164) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35415) |
| 225100000X Physical Therapist (Licence: NH 2307) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-09-15 |