| NPI | 1578848438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207049) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2017-03-20 |