| NPI | 1093846503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10002252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA pt006249l) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-02-21 |