| NPI | 1053736959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7209) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |