| NPI | 1184640989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870591) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2017-10-24 |