| NPI | 1891925046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206795) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3107840) |
| 225100000X Physical Therapist (Licence: OK 4244) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2011-03-14 |