| NPI | 1245493329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009346) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103936) |
| 225100000X Physical Therapist (Licence: NE 2736) | |
| 225100000X Physical Therapist (Licence: TX 1186306) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2009-08-18 |