| NPI | 1558031237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20761) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015603) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2023-01-10 |