| NPI | 1740732882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871988) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12060-24) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |