| NPI | 1174838585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206601) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020733) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |