| NPI | 1134377716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1387) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3359) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |