| NPI | 1184880965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5772) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009333) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |