| NPI | 1326585464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013353) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-01-09 |