| NPI | 1932533569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20657) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-09-18 |