| NPI | 1154328334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT21677) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2014-01-02 |