| NPI | 1396942330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7566) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7509) |
| 225100000X Physical Therapist (Licence: MO 2002003815) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |