| NPI | 1316905490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 870157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19658) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2013-08-19 |