| NPI | 1619267002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 871144) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23248) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |