| NPI | 1508817024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 3407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 4529) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-02-05 |