| NPI | 1225275951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1638) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 7200876-2401) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-09-17 |