| NPI | 1851832372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 872093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 17302) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-12-18 |