| NPI | 1467517771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007768) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NY 027047) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-12-15 |