| NPI | 1083002554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD MD25363) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871518) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2018-05-16 |