| NPI | 1548323413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11226) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 870575) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-09-12 |