| NPI | 1770609141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2099) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 668) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |