| NPI | 1881971950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211815) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011279A) |
| 225100000X Physical Therapist (Licence: NC 13408) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2018-07-06 |