| NPI | 1720141138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 4800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870882) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-10-09 |