| NPI | 1346401858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1895) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2014-03-11 |