| NPI | 1811142755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204936) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |