| NPI | 1174772297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009441) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2011-05-06 |