| NPI | 1619377967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24817) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2014-08-23 |