| NPI | 1184019481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032602) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |