| NPI | 1629157961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 4696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 1301) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-08-28 |