| NPI | 1083056618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 2638) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 576000919) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |