| NPI | 1659744324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28684) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213657) |
| 225100000X Physical Therapist (Licence: DC PT872671) | |
| 225100000X Physical Therapist (Licence: NY 038006) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2023-12-13 |