| NPI | 1689670895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007002) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-10-30 |