| NPI | 1558754895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT003258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 003258) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2021-11-24 |