| NPI | 1518263805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23924) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871210) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2018-10-04 |