| NPI | 1144585381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 27398) |
| 225100000X Physical Therapist (Licence: GA PT012328) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2016-09-02 |