| NPI | 1225346679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305206143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT19966) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |