| NPI | 1841216199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007778) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03783) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-03 |