| NPI | 1326060294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 0939) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-09-02 |