| NPI | 1598952426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11056) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007454) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |