| NPI | 1952422453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-2493) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018522) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-09-28 |