| NPI | 1164520482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 870112) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305203115) |
| 225100000X Physical Therapist (Licence: CA PT32836) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-09-30 |