| NPI | 1902875388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305006706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0126000619) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2014-06-08 |