| NPI | 1811260052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23935) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871328) |
| 225100000X Physical Therapist (Licence: VA 2305209240) | |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2015-01-27 |