| NPI | 1023449048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: GA PT011310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011310) |
| Enumeration Date | 2013-12-01 |
| Last Update Date | 2013-12-01 |