| NPI | 1689736795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 2537) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11066) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-05-21 |