| NPI | 1235560210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208374) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: DC PT 871587) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2015-07-21 |