| NPI | 1467451138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 2305005652) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2018-05-10 |