| NPI | 1477929685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39707) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012060) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2024-02-22 |