| NPI | 1811060197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 4647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 5181) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-09 |