| NPI | 1811958879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 49201552401) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |