| NPI | 1720439821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210196) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-10-05 |