| NPI | 1952527533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1019) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NE 1019) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-11-30 |