| NPI | 1588991129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2809) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004468) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |