| NPI | 1932158433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 1575) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT 22524) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-06-08 |