| NPI | 1811013089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 2241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6173) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-11-08 |