| NPI | 1467652065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20903) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870361) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |