| NPI | 1235270240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 164) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2007-07-08 |