| NPI | 1710923859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PR 001294) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 10203) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |