| NPI | 1417515149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007272) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-11-29 |