| NPI | 1558600833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20209) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009570) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |