| NPI | 1730522715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033833) |
| 225100000X Physical Therapist (Licence: OR 06824) | |
| 225100000X Physical Therapist (Licence: MD 24206) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |