| NPI | 1568484731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PTH008775) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2012-10-02 |