| NPI | 1265747414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2004025487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2398) |
| 225100000X Physical Therapist (Licence: ID RPT-344) | |
| 225100000X Physical Therapist (Licence: IL 070003083) | |
| 225100000X Physical Therapist (Licence: NC P13507) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2012-07-19 |