| NPI | 1851415145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4996) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009415) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-06-27 |