| NPI | 1649615907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40061) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207174) |
| 225100000X Physical Therapist (Licence: NY 033627) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-03-20 |