| NPI | 1942206339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 02181) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |