| NPI | 1780824698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT009554) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT020367) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2019-01-09 |