| NPI | 1073542577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20863) |
| 225100000X Physical Therapist (Licence: VA 2305203584) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |