| NPI | 1134610520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12675) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013437) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-12-12 |