| NPI | 1275661548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05001508A) |
| 225100000X Physical Therapist (Licence: IL 070004271) | |
| 225100000X Physical Therapist (Licence: GA 010833) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-08-22 |