| NPI | 1114437688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23644) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871382) |
| 225100000X Physical Therapist (Licence: VA 2305210081) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |