| NPI | 1053685834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010570) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8435) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2018-01-10 |