| NPI | 1326514449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18402) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013724) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-31 |