| NPI | 1992072599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6383) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 23284) |
| 225100000X Physical Therapist (Licence: NC 13258) | |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2011-11-27 |