| NPI | 1992965800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004227) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2644) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2012-08-06 |