| NPI | 1225466998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14163) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871361) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-11-21 |