| NPI | 1235449612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010133) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT010133) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2021-01-04 |