| NPI | 1235218033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT8400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP033497T) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-08-29 |