| NPI | 1003811142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305002792) |
| 225100000X Physical Therapist (Licence: DC PT419) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |