| NPI | 1396919155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006119) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 006119) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-10-06 |