| NPI | 1619480829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872456) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2019-05-13 |