| NPI | 1558911032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34153) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-01-03 |