| NPI | 1568661205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36897) |
| 225100000X Physical Therapist (Licence: NM 3340) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2019-11-07 |