| NPI | 1871803106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2604) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2013-07-11 |