| NPI | 1972563625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 2347) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9673) |
| Enumeration Date | 2006-03-26 |
| Last Update Date | 2011-12-06 |