| NPI | 1922318997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH5992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26327) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2014-03-14 |