| NPI | 1881761666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 1113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT002599) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-01-26 |