| NPI | 1154469245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305003281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT2059) |
| 225100000X Physical Therapist (Licence: MD 16134) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-12-20 |