| NPI | 1376653931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14081) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 4393) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-08-13 |