| NPI | 1194384958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15212) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |