| NPI | 1386869519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7072258-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 261) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2009-05-27 |