| NPI | 1659518579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT 871319) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23912) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2014-04-02 |