| NPI | 1780987495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204248) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000375) |
| 225100000X Physical Therapist (Licence: CA 22448) | |
| 225100000X Physical Therapist (Licence: MA 15151) | |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |