| NPI | 1225356371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24090) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2015-02-11 |