| NPI | 1740688506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11503) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5680) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |