| NPI | 1528374071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13224) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT8799) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2013-05-09 |