| NPI | 1962927277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026356) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-09-05 |