| NPI | 1508111832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872215) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208260) |
| 225100000X Physical Therapist (Licence: CT 9484) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-03-17 |