| NPI | 1114275443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 16939) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |