| NPI | 1518013770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 0402) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2008-11-19 |