| NPI | 1790098283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2387) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6239) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2011-02-24 |