| NPI | 1396087896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 006389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 3853) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2015-09-09 |