| NPI | 1548372014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 00878) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 878) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-04-30 |