| NPI | 1871718536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1807) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 4809) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2012-10-17 |