| NPI | 1336293083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 15580) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-08-31 |