| NPI | 1447819800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015171) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043708) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-10-10 |