| NPI | 1881028371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 871563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24669) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2022-12-12 |