| NPI | 1720336035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P12961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT000325) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |