| NPI | 1508964396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT2843) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-11-02 |