| NPI | 1780852269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870781) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22200) |
| 225100000X Physical Therapist (Licence: VA 2305205265) | |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-05-28 |