| NPI | 1922235522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009208) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6095) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2011-03-07 |