| NPI | 1598881278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 008860) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22438) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2013-03-26 |