| NPI | 1184748329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17770) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT2127) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-01-06 |