| NPI | 1851353619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2285) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03735) |
| 225100000X Physical Therapist (Licence: CO 8676) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-08-19 |