| NPI | 1730644881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28317) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872281) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2021-04-29 |