| NPI | 1154997013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PTA003304) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA003304) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2023-08-18 |