| NPI | 1053488015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21008) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |