| NPI | 1700847837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8345) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |