| NPI | 1083037824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871536) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208460) |
| 225100000X Physical Therapist (Licence: NJ 40QA01404700) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2016-04-18 |