| NPI | 1285863944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3671) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |