| NPI | 1275764136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT6864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009662) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2013-07-03 |