| NPI | 1669625935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029309-1) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2015-07-07 |