| NPI | 1649607169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23765) |
| Enumeration Date | 2013-09-29 |
| Last Update Date | 2015-09-24 |