| NPI | 1205924453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5128) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-04-10 |