| NPI | 1821272915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 1963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305002275) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |