| NPI | 1508138801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 007073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007073) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2013-08-08 |