| NPI | 1215146873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203579) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010144) |
| 225100000X Physical Therapist (Licence: IL 070.014945) | |
| 225100000X Physical Therapist (Licence: GA PT008527) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-02-28 |