| NPI | 1447424429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13266) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009172) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2014-08-28 |