| NPI | 1417018474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5906-024) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-02-11 |