| NPI | 1053467118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203830) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 870432) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-07-18 |