| NPI | 1952589178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 864) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2012-07-31 |