| NPI | 1821481763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209276) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2016-09-06 |