| NPI | 1295033314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9234) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2012-11-20 |