| NPI | 1083638316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1154270) |
| 225100000X Physical Therapist (Licence: IL 070015810) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-02-13 |