| NPI | 1083835169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 20649) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-01-13 |