| NPI | 1275798159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871492) |
| 225100000X Physical Therapist (Licence: VA 2305205557) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MD 25052) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305205557) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2021-07-30 |