| NPI | 1730128000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23844) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-09-28 |