| NPI | 1679895734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9034) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 1563) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2012-02-29 |