| NPI | 1881863561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 2713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 015789) |
| 225100000X Physical Therapist (Licence: NM 1721) | |
| 225100000X Physical Therapist (Licence: TN 004591) | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2010-03-04 |