| NPI | 1346614625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT003152) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 2428) |
| 225100000X Physical Therapist (Licence: KS 1570) | |
| 225100000X Physical Therapist (Licence: MO R0430) | |
| 225100000X Physical Therapist (Licence: NY 5042) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-02-25 |