| NPI | 1194208678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017025) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 18289) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-09-09 |