| NPI | 1982995122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009363) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6402) |
| 225100000X Physical Therapist (Licence: NC 12946) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |