| NPI | 1093176570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870817) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2019-06-07 |