| NPI | 1144226002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 008905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT20563) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-08 |