| NPI | 1952687048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207197) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871107) |
| 225100000X Physical Therapist (Licence: CA PT 20473) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2012-12-14 |