| NPI | 1487048633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209016) |
| 225100000X Physical Therapist (Licence: MD 25202) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-04-06 |