| NPI | 1891853040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT000727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30779) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-09-13 |