| NPI | 1538253000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT 2893) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 3582) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-10-25 |