| NPI | 1437717907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9344) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-07-19 |