| NPI | 1982723136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 4981) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2009011506) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-08-15 |