| NPI | 1003297037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014546) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10450) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-06-11 |