| NPI | 1457391351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10456) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-09-16 |