| NPI | 1134179088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009305) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PT 6087) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-08-26 |