| NPI | 1073728549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2619) |
| 225100000X Physical Therapist (Licence: TX 1169202) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-03-05 |