| NPI | 1942373915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23126) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-05-02 |