| NPI | 1669494894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206624) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-06-23 |