| NPI | 1144468976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870979) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2019-09-03 |