| NPI | 1487921946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10412-24) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |