| NPI | 1417506254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 0000012265) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT014009) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-11-02 |