| NPI | 1720055106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209891) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60032241) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2016-01-25 |