| NPI | 1497967434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL9589) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-04-29 |