| NPI | 1205997541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209121) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008458A) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-11-28 |