| NPI | 1184605503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007678) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: GA 007678) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2007-09-27 |