| NPI | 1487948154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 08369R) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: GA 010349) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2014-03-19 |