| NPI | 1558498931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 006813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9292) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-01-06 |