| NPI | 1891919957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4928) |
| 225100000X Physical Therapist (Licence: WA PT00009813) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |