| NPI | 1659443752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 108644) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-11-12 |