| NPI | 1982807871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007483) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: GA PT007483) |
| 2251X0800X Physical Therapist Orthopedic (Licence: GA PT007483) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |