| NPI | 1336964782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT017442) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |