| NPI | 1194880054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207051) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027646-1) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2013-01-27 |