| NPI | 1609164268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN TN8275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO MO2007017263) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |