| NPI | 1366644353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 23234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002161) |
| 225100000X Physical Therapist (Licence: NY 028672-1) | |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2007-07-08 |