| NPI | 1730556325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT0122222113) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-09-01 |