| NPI | 1487892691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 3560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT005797) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2019-01-11 |