| NPI | 1306229653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009268A) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |