| NPI | 1144334657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21320) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-04-18 |