| NPI | 1144558768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204705) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23060) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |