| NPI | 1467838805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP004959T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15841) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2023-09-18 |