| NPI | 1841517232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13327) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000008180) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2013-02-20 |