| NPI | 1063565257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT17708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT006201) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-02-19 |