| NPI | 1912330242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: DC 871513) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1233585) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |