| NPI | 1205334869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC pt17470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA pt025602) |
| 225100000X Physical Therapist (Licence: PA 235210576) | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |