| NPI | 1407205057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012677) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8161) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2024-06-14 |