| NPI | 1053944413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH11130) |
| 225100000X Physical Therapist (Licence: NC P19401) | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2023-12-15 |