| NPI | 1669697603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19359) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT3068) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |