| NPI | 1932309192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4117) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 1973) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |