| NPI | 1548347073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT001401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204385) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-07-09 |