| NPI | 1528314044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305207471) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207471) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2014-08-06 |