| NPI | 1255498929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008929) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0011938) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-06-15 |