| NPI | 1518401751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26242) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |