| NPI | 1548709702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8334) |
| 225100000X Physical Therapist (Licence: CA 298190) | |
| 225100000X Physical Therapist (Licence: VA 2305212895) | |
| 225100000X Physical Therapist (Licence: MA 000024311) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2020-04-27 |