NPI | 1194898825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004494) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 2753) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2007-07-09 |