| NPI | 1518910256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25856) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305006645) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-05-11 |