| NPI | 1245387711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208049) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24866) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-12-19 |