| NPI | 1265620629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009304) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002264) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2009-08-12 |