| NPI | 1417909763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004553) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT4063) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-07-17 |