| NPI | 1679579049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7142) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2009-11-17 |