| NPI | 1215282967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13745) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-09-20 |