| NPI | 1235189168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT005096) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 005096) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-12-17 |