| NPI | 1528371267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT2805) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |