| NPI | 1003051442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009675) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT3118) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2015-05-18 |