| NPI | 1043461650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT009317) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT012812L) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |