| NPI | 1952520363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2000153020) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 7289) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-09-08 |