| NPI | 1184895328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17244) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305203521) |
| 225100000X Physical Therapist (Licence: MA 13076) | |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2017-09-08 |