| NPI | 1275938227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208958) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871583) |
| 225100000X Physical Therapist (Licence: PA PT022922) | |
| 225100000X Physical Therapist (Licence: MD 168962) | |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2015-10-30 |