| NPI | 1265723233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206851) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37437) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |