| NPI | 1194928705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007535) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22680) |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2013-04-22 |