| NPI | 1134113715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3863) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT006273) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2010-10-21 |