| NPI | 1821490350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26699) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 29552) |
| 225100000X Physical Therapist (Licence: DC 872000) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-03-17 |