| NPI | 1336273051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT2658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20193) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |