| NPI | 1326270943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207515) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT35912) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2018-08-17 |