| NPI | 1144477670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH5812) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT4395) |
| 225100000X Physical Therapist (Licence: GA PT009634) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2019-11-19 |