| NPI | 1326180589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205892) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03668) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-08-30 |