| NPI | 1437426442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871079) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23048) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2012-09-17 |