| NPI | 1376817155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010558) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2020-08-17 |