| NPI | 1649405705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009610) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2013-05-21 |