| NPI | 1285864595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009817) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020058) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-11-19 |