| NPI | 1720130099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT2816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008389) |
| 225100000X Physical Therapist (Licence: HI PT-2816) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-02-03 |