| NPI | 1578728465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3609) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2241) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2011-06-23 |