| NPI | 1013969476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 13099) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT8097) |
| 225100000X Physical Therapist (Licence: GA PT008097) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-06-25 |