| NPI | 1316331531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 871625) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25372) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |