| NPI | 1407163447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 6848) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5310) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |