| NPI | 1639176506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1917) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03132) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2013-12-31 |