| NPI | 1114472388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012558) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30539) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |