| NPI | 1376822411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010018) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013414) |
| 225100000X Physical Therapist (Licence: TN CP007623T) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2024-04-01 |