| NPI | 1790776201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: GA PT000951) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: GA PT000951) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT000951) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-09-27 |