| NPI | 1578629150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205193) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27685) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-10-27 |