| NPI | 1699002881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6025) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2014-07-16 |