| NPI | 1336293513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22147) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD T5812) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-10-23 |