| NPI | 1548323736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21673) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032742) |
| 225100000X Physical Therapist (Licence: DC PT870644) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-07-28 |