| NPI | 1548435407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205882) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009461A) |
| 225100000X Physical Therapist (Licence: MD 22117) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2012-07-18 |