| NPI | 1144256249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009579) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007794) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-05-24 |