| NPI | 1669600185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1750) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-2534) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-01-07 |