| NPI | 1679743611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4589) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 006363) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |