| NPI | 1780880005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 871078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206169) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2011-08-23 |