| NPI | 1003931247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1174611) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011219) |
| 225100000X Physical Therapist (Licence: PA PT017581) | |
| 225100000X Physical Therapist (Licence: VA 2305204978) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-08-24 |