| NPI | 1659350452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21712) |
| 225100000X Physical Therapist (Licence: DC PT870617) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2019-12-16 |