| NPI | 1861436941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 5433) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 001356) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-12-14 |