| NPI | 1477718930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT1664) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008586) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2019-07-29 |