| NPI | 1609822386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 2836) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT286) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-04-13 |