| NPI | 1942424395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1984) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6476) |
| 225100000X Physical Therapist (Licence: NM 3949) | |
| 225100000X Physical Therapist (Licence: MA 18275) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-03-09 |