| NPI | 1417142415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204991) |
| 225100000X Physical Therapist (Licence: HI 2767) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-19 |