| NPI | 1417071564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015191) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 050120183A) |
| 225100000X Physical Therapist (Licence: VA 2305204685) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2021-06-14 |