| NPI | 1093183899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 012201) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 30610) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2020-12-03 |