| NPI | 1295999167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870135) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20200) |
| 225100000X Physical Therapist (Licence: VA 2305203778) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-11-06 |