| NPI | 1093152100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208277) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034953) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-11-26 |