| NPI | 1548323272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21244) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2014-01-24 |