| NPI | 1841713971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871631) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |