| NPI | 1528462330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40191) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011640) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2023-12-04 |