| NPI | 1437438553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 1069) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2011-10-06 |