| NPI | 1063677128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871877) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2016-12-30 |