| NPI | 1699182675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871685) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208731) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-10-02 |