| NPI | 1124088042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: GA PT001113) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT001113) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-04-08 |