| NPI | 1265075220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8489) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012796) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-12-17 |