| NPI | 1417203704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1573) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1583) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |