| NPI | 1750699054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 941) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 225100000X Physical Therapist | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NE 941) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2015-09-11 |