| NPI | 1669695581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 870714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20108) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2014-08-12 |