| NPI | 1740596881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 14996) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 430) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |