| NPI | 1386832731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 2480) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |