| NPI | 1396042420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: GA PT010154) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: GA PT010154) |
| 2251S0007X Physical Therapist Sports (Licence: GA PT010154) | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |