| NPI | 1831514116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208263) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20799) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2016-03-18 |