| NPI | 1629513841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012587) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK PHYP662) |
| Enumeration Date | 2016-12-24 |
| Last Update Date | 2017-06-07 |