| NPI | 1730363201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2601) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1120095) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |