| NPI | 1508297649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010710) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14236) |
| 225100000X Physical Therapist (Licence: VA 2305207590) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2024-04-17 |