| NPI | 1437199080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2035) |
| 225100000X Physical Therapist (Licence: GA PT009186) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-10-10 |