| NPI | 1861519100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10643) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 001662) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-08-23 |