| NPI | 1750454658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0002273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 0400002273) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-04-16 |