| NPI | 1033281969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 2238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305004846) |
| 225100000X Physical Therapist (Licence: FL 7127) | |
| 225100000X Physical Therapist (Licence: MI 5501005102) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |