| NPI | 1952529075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 2946) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1198) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-04-24 |