| NPI | 1134118409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013688) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT 21916) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2024-04-02 |