| NPI | 1174988497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871836) |
| 225100000X Physical Therapist (Licence: VA 2305209503) | |
| 225100000X Physical Therapist (Licence: MD 25561) | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |