| NPI | 1376885798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25566) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1245119) |
| 225100000X Physical Therapist (Licence: VA 2305207323) | |
| 225100000X Physical Therapist (Licence: DC PT871223) | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2018-12-10 |