| NPI | 1598781700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PR 1052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 7035) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-03-28 |