| NPI | 1396808838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH215) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 00474R) |
| 225100000X Physical Therapist (Licence: GA PT001323) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |