| NPI | 1841662236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211591) |
| 225100000X Physical Therapist (Licence: DC PT871875) | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2020-12-30 |