| NPI | 1063673895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24138) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009166) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2024-08-28 |