| NPI | 1174528731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 002995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 17970) |
| 225100000X Physical Therapist (Licence: DC 2212) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2016-05-02 |