| NPI | 1740315530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 002538) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-12-02 |