| NPI | 1437138211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870102) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21400) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-08-23 |