| NPI | 1548385297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 2976) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |