| NPI | 1427163765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT10249) |
| 225100000X Physical Therapist (Licence: CO PTL.0010843) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-10-04 |