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 |