| NPI | 1851519656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008666) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 003182) |
| 225100000X Physical Therapist (Licence: AZ 7385) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-12-18 |