| NPI | 1215216437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6432) |
| 225100000X Physical Therapist (Licence: CA 37756) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |