| NPI | 1780097295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011939) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10036) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2016-09-08 |