| NPI | 1871921395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210359) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871505) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2019-06-14 |