| NPI | 1750775524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT001639) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004065) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |