| NPI | 1235512377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 2369) |
| 225100000X Physical Therapist (Licence: GA PT004376) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |