| NPI | 1285855064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62849) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008974) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-09-14 |