| NPI | 1326296484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24232) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2014-11-24 |