| NPI | 1255329934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT002364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 4225) |
| 225100000X Physical Therapist (Licence: VA 2305206791) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2024-06-19 |