| NPI | 1346655081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011381) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-07-12 |