| NPI | 1144718941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27772) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014295) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2019-11-05 |