| NPI | 1437397213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 014829) |
| 225100000X Physical Therapist (Licence: NC 12456) | |
| 225100000X Physical Therapist (Licence: TX 1205280) | |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2011-10-03 |