| NPI | 1477710853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11953) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23997) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-12-30 |