| NPI | 1124273719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1184238) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2011-06-30 |