| NPI | 1356606586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26043) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871376) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2018-09-11 |