| NPI | 1174619308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1176443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.013279) |
| 225100000X Physical Therapist (Licence: IN 05007641A) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-03-15 |