| NPI | 1598896458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251P0200X Physical Therapist Pediatrics | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |