| NPI | 1285866053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009709) |
| 225100000X Physical Therapist (Licence: IN 05011412A) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2015-07-30 |