| NPI | 1558821314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37202) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013852) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-12-19 |