| NPI | 1700220845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28191) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010966) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2015-02-04 |