| NPI | 1417482605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26424) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871770) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |