| NPI | 1639172729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3156) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6384) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2013-12-23 |