| NPI | 1942498662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2655) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2013-03-15 |