| NPI | 1124339304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009948) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-03-07 |