| NPI | 1619923141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT6556) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT7294) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-11-19 |