| NPI | 1598844763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206742) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0277051) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-04-30 |