| NPI | 1912092776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 21508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008055) |
| 225100000X Physical Therapist (Licence: CO 6281) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-01-17 |