| NPI | 1346385218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT21326) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-06-25 |