| NPI | 1235422387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26852) |
| 225100000X Physical Therapist (Licence: PA PT019050) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2020-09-29 |