| NPI | 1548294812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305006484) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870236) |
| 225100000X Physical Therapist (Licence: FL PT14177) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-09-05 |