| NPI | 1417955915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 870058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20532) |
| 225100000X Physical Therapist (Licence: VA 2305204836) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2010-06-18 |