| NPI | 1326486747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9716) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-01-10 |