| NPI | 1518145358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18024) |
| 225100000X Physical Therapist (Licence: CT 008223) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2010-01-20 |