| NPI | 1821419854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1031870) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |