| NPI | 1366875932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14295) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62 035720) |
| 225100000X Physical Therapist (Licence: CA 40090) | |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2013-08-18 |