| NPI | 1467708461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010735) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2021-08-20 |