| NPI | 1952698839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011956) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8915) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2015-08-03 |