| NPI | 1194998328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23731) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT006653) |
| 225100000X Physical Therapist (Licence: NC 10954) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |