| NPI | 1609143213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26509) |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2012-04-04 |