| NPI | 1528092814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 0508) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-03-21 |