| NPI | 1619990686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT 6726) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-01-16 |