| NPI | 1376673913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 0614) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE NV0614) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-05-20 |