| NPI | 1629182134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870570) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-09-26 |