| NPI | 1720475775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21995) |
| 225100000X Physical Therapist (Licence: DC PT870739) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |