| NPI | 1700942596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016372) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-08-25 |