| NPI | 1689045312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010312) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT29913) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |