| NPI | 1417405499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013169) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12414) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2017-10-20 |