| NPI | 1396983706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009707A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9500) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |