| NPI | 1720254121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21069) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251N0400X Physical Therapist, Neurology | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2013-04-08 |