| NPI | 1225278344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24216) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |