| NPI | 1669778445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 001765E) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 002803) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |