| NPI | 1912218371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 18036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206474) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2018-10-09 |