| NPI | 1184610925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213737) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD MD18669) |
| 225100000X Physical Therapist (Licence: DC DC2774) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2022-11-17 |