| NPI | 1801884499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 1168) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ID 1168) |
| Enumeration Date | 2005-10-08 |
| Last Update Date | 2014-03-18 |