| NPI | 1750511614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7716) |
| 225100000X Physical Therapist (Licence: WA 60002785) | |
| 225100000X Physical Therapist (Licence: MD 22806) | |
| 225100000X Physical Therapist (Licence: NE 2705) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |