| NPI | 1477663102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870539) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305203500) |
| 225100000X Physical Therapist (Licence: MD 20786) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-09-24 |