| NPI | 1699981266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2743) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 7436) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2014-04-15 |