| NPI | 1659588333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870036) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: MD 19889) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-06-07 |