| NPI | 1528287406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205750) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21945) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2010-08-31 |