| NPI | 1013232495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10122) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |