| NPI | 1891240735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208190) |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2020-07-05 |