| NPI | 1427470616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 40QA01531900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 1228532) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |