| NPI | 1659506681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2008020480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009749A) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |