| NPI | 1669655205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8861) |
| 225100000X Physical Therapist (Licence: NY 016958-1) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2009-05-26 |