| NPI | 1164427720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 870153) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2014-07-02 |