| NPI | 1821259565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870843) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2017-02-02 |