| NPI | 1750535274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P11822) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2009-06-23 |