| NPI | 1154750487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011297) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2016-07-15 |