| NPI | 1538493838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010503) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6063) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2012-01-17 |