| NPI | 1598999260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7221459-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34868) |
| 225100000X Physical Therapist (Licence: NE 2593) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |