| NPI | 1205219565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10369) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012281) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2019-08-19 |