| NPI | 1932109501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-2255) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305203517) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-08-03 |