| NPI | 1396031332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 5229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8921) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2014-08-11 |