| NPI | 1346428471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 853PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT21237) |
| 225100000X Physical Therapist (Licence: CA PT18228) | |
| 225100000X Physical Therapist (Licence: TX 1094035) | |
| 225100000X Physical Therapist (Licence: CT 007362) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |