| NPI | 1659565182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009116) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P11852) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2014-03-07 |