| NPI | 1548447972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0002309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206439) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2017-11-17 |