| NPI | 1194763441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT4899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT8729) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-01-06 |