| NPI | 1013968890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 11163) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008592) |
| 225100000X Physical Therapist (Licence: CA PT26983) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2016-10-17 |