| NPI | 1023032240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013730) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10268-24) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-06-06 |