| NPI | 1982924635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009863) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT005039) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2014-01-24 |