| NPI | 1366559304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT003475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 4021) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-03-17 |