| NPI | 1740548833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 27286) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-07-09 |