| NPI | 1184768574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007797) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2023-01-04 |