| NPI | 1467002394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014036) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2020-11-16 |