| NPI | 1073949947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1484) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9236) |
| 225100000X Physical Therapist (Licence: GA PT010881) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |