| NPI | 1346671641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1229668) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020367) |
| 225100000X Physical Therapist (Licence: CT 009965) | |
| 225100000X Physical Therapist (Licence: WI 1258924) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |