| NPI | 1386160372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32811) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-11-05 |