| NPI | 1376838433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208434) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13158) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2019-06-18 |