| NPI | 1396094751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305209619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871389) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2022-07-14 |