| NPI | 1548536774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207289) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23948) |
| 225100000X Physical Therapist (Licence: CA 37908) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |