| NPI | 1508161886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05005583A) |
| 225100000X Physical Therapist (Licence: NY 018907) | |
| 225100000X Physical Therapist (Licence: LA 03320F) | |
| 225100000X Physical Therapist (Licence: TN 5145) | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-05-13 |