| NPI | 1700096575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 23132) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-09-26 |