| NPI | 1164056636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP010823T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH pt018507) |
| 225100000X Physical Therapist (Licence: AL PTH10993) | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2022-08-12 |