| NPI | 1174732176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203735) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: DC PT870052) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-03-20 |