| NPI | 1902943418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 16554) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT787) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |