| NPI | 1740439090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 27198) |
| 225100000X Physical Therapist (Licence: CO 11376) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2015-11-11 |