| NPI | 1730205782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008490) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22451) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |