| NPI | 1891891206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 1859) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 244) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-03-20 |