| NPI | 1508902511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8881) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL pt21283) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-02-26 |