| NPI | 1538719729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34909) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014366) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-06-09 |