| NPI | 1578689006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6013) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |