| NPI | 1609236660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25859) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |