| NPI | 1467539783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5293) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-06-24 |