| NPI | 1710248901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007788) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT007788) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2014-06-03 |