| NPI | 1245441211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT005179) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: GA PT005179) |
| 2251P0200X Physical Therapist Pediatrics (Licence: GA PT005179) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-04-05 |