| NPI | 1295732469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT000748) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: GA 9105000229) |
| Enumeration Date | 2005-07-04 |
| Last Update Date | 2007-10-22 |