| NPI | 1548810724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 34927) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2022-12-13 |