| NPI | 1073663472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015629) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20859) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-11-11 |