| NPI | 1477875201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT9405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT003946) |
| 224P00000X Prosthetist (Licence: GA 000038) | |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2024-05-26 |