| NPI | 1114576477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41418) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014273) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-07-03 |