| NPI | 1982931085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209739) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40187) |
| 225100000X Physical Therapist (Licence: FL 25113) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2015-08-12 |