| NPI | 1447261482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 0400002212) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-08-18 |