| NPI | 1346591393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207364) |
| Enumeration Date | 2012-09-29 |
| Last Update Date | 2014-06-16 |