| NPI | 1114122926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009039) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2019-07-26 |