| NPI | 1427174200 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20547) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 870237) | 
| 225100000X Physical Therapist (Licence: VA 3614) | |
| Enumeration Date | 2007-03-22 | 
| Last Update Date | 2008-02-19 |