| NPI | 1073731907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33240) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011981) |
| 225100000X Physical Therapist (Licence: IN 05008212A) | |
| 225100000X Physical Therapist (Licence: AL PTH4421) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |