| NPI | 1982833109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206017) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36667) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2013-06-04 |