| NPI | 1851410237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 4791) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305001204) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-04-03 |