| NPI | 1407883119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005134) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 6885) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-11-28 |