| NPI | 1003174855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5876-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1134039) |
| 225100000X Physical Therapist (Licence: CA 19444) | |
| 225100000X Physical Therapist (Licence: IL 070.010640) | |
| 225100000X Physical Therapist (Licence: KS 11-01243) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |