| NPI | 1194926949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT002746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P12914) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-07-07 |