| NPI | 1427498930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208089) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306602217) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-08-06 |