| NPI | 1467782391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11370-024) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05007342A) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2010-06-28 |