| NPI | 1447892799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12425) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT0143411) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |