| NPI | 1437377223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 870942) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-03-11 |