| NPI | 1841460359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH5238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 7197) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |