| NPI | 1437509601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015774) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL PTA25906) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-12-26 |