| NPI | 1841593068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC A3437) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 2372) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |