| NPI | 1568794048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 12318) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-09 |