| NPI | 1659512572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT9580) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2019-06-04 |