| NPI | 1427298967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27396) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009928) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2020-02-04 |