| NPI | 1316186430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212439) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21686) |
| 225100000X Physical Therapist (Licence: DE J1-0002903) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2018-12-13 |