| NPI | 1730251232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC P72686) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2012-09-28 |