| NPI | 1649548751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT010396L) |
| 225100000X Physical Therapist (Licence: NY 62010631) | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |