| NPI | 1255463113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT 2766) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-07-23 |