| NPI | 1285873091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN pt0000006842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA pt006462) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |