| NPI | 1144386848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 8737) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 16583) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-11-09 |