NPI | 1790861847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007822) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5092) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2012-03-12 |