| NPI | 1922230630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 1315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011418) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2018-03-08 |