| NPI | 1164808556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871802) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2022-10-17 |