| NPI | 1649247172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204102) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |