| NPI | 1487066346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60482703) |
| 225100000X Physical Therapist (Licence: LA 09021R) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2018-04-16 |