| NPI | 1578838231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305006317) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 22106) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2013-09-19 |