| NPI | 1457606485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6843) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2016-04-29 |