| NPI | 1700964939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 008166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008166) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-05-07 |