| NPI | 1326308834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871122) |
| 225100000X Physical Therapist (Licence: NY 031854) | |
| 225100000X Physical Therapist (Licence: MD 24456) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2013-08-13 |