| NPI | 1942592019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305207863) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23581) |
| 225100000X Physical Therapist (Licence: DC PT871191) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2014-08-21 |