| NPI | 1780893883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 02668) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |