| NPI | 1417286634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2009019552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25053) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2011-05-26 |