| NPI | 1598703985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 005510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17034) |
| 225100000X Physical Therapist (Licence: NC 1912) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |