| NPI | 1306942990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871834) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 21841) |
| 225100000X Physical Therapist (Licence: GA PT008197) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-12-21 |