| NPI | 1336406115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9488) |
| 225100000X Physical Therapist (Licence: CO 9035) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2014-01-17 |