| NPI | 1851726194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011176) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 5501A) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2014-12-30 |