| NPI | 1649550070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3018) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004852) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |