| NPI | 1871705152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA VA2305204216) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204216) |
| 225100000X Physical Therapist (Licence: DC PT870529) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-01-26 |