| NPI | 1407076896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 8237) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 4334) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-09-17 |