| NPI | 1700065380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |