| NPI | 1326244856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23789) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2018-04-26 |