| NPI | 1417993783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008310) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-05-26 |