| NPI | 1225544836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013264) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT33224) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-09-20 |