| NPI | 1003213984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1245451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871541) |
| 225100000X Physical Therapist (Licence: VA 2305208278) | |
| 225100000X Physical Therapist (Licence: MA 21416) | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |