| NPI | 1366493843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305003507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870662) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-09-23 |