| NPI | 1649525007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871142) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23884) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |