| NPI | 1447251855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25452) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204018) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-10-05 |