| NPI | 1497949507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005873) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT3806) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2018-03-22 |