| NPI | 1851402507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT9474) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 003628) |
| 225100000X Physical Therapist (Licence: NC 2375) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-07-06 |