| NPI | 1699077081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15906) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MD 15906) |
| 2251H1300X Physical Therapist, Human Factors (Licence: MD 15906) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |