| NPI | 1679975809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011394) |
| 225100000X Physical Therapist (Licence: PA PT021878) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |