| NPI | 1134899917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015594) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10637) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-07-27 |