| NPI | 1649517830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207749) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871349) |
| 225100000X Physical Therapist (Licence: MD 23661) | |
| 225100000X Physical Therapist (Licence: IL 070021395) | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2017-04-05 |