| NPI | 1144309451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 0000011609) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204882) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-02-20 |