| NPI | 1659587145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1873) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5467) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-12-12 |