| NPI | 1689953374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 01504) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |