| NPI | 1841448313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205769) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7881) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-03-18 |