| NPI | 1306070677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205903) |
| 225100000X Physical Therapist (Licence: PA PT012035L) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2011-08-31 |