| NPI | 1801846142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 532) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 5562) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-12-01 |