| NPI | 1295063493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009347) |
| Enumeration Date | 2009-11-27 |
| Last Update Date | 2021-08-24 |