| NPI | 1679972723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872525) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208902) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2019-09-10 |