| NPI | 1982970067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207115) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |