| NPI | 1891884995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 00620) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS ms1475) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-07-30 |