| NPI | 1033369277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 18472) |
| 225100000X Physical Therapist (Licence: DC 2874) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2015-09-23 |