| NPI | 1457965196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872668) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213537) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |