| NPI | 1821062209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206415) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2831) |
| 225100000X Physical Therapist (Licence: GA 010474) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-02-18 |