| NPI | 1972732188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12179) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 12179) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2013-06-19 |