| NPI | 1730246893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10627) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5363) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2008-02-06 |