| NPI | 1518259332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012193) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871175) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2017-05-10 |