| NPI | 1942379789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT1987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT002871) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-02-24 |