| NPI | 1629093307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 2570) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-11-06 |