| NPI | 1851455448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204873) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22054) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-07-19 |