| NPI | 1093892440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007392) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |