| NPI | 1588874382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 951) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1133) |
| 225100000X Physical Therapist (Licence: CA 16005) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |