| NPI | 1437457868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6430) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-05-16 |