| NPI | 1649398975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12722) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16776) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-02-16 |