| NPI | 1831287937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-010755-L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 2832) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-03-19 |