| NPI | 1124562301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012710) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT17124) |
| 225X00000X Occupational Therapist (Licence: GA OT006462) | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2021-06-28 |