| NPI | 1154763076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010894) |
| 225100000X Physical Therapist (Licence: CO PTL.0011844) | |
| 225100000X Physical Therapist (Licence: TN 9454) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-25 |