| NPI | 1033198874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT 674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 14936) |
| 225100000X Physical Therapist (Licence: VA 2305202970) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-07-08 |