| NPI | 1558524736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20167) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2010-07-09 |