| NPI | 1407924202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC PT10976) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 21331) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-08-30 |