| NPI | 1356386122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AL PTH5444) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-04-16 |