| NPI | 1194335778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015331) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2021-11-29 |