| NPI | 1093913915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2398PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205576) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-05-11 |