| NPI | 1467562900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033085-1) |
| 225100000X Physical Therapist (Licence: VT 0400003599) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-03-18 |