| NPI | 1699083725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 5652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305203682) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2017-06-14 |