| NPI | 1538442405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25677) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010455) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2015-12-09 |