| NPI | 1861792061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206494) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2012-11-26 |