| NPI | 1851591283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009133) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT 9133) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2014-06-10 |