| NPI | 1174760706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5328) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009528) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2010-04-15 |