| NPI | 1568075026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9971) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-09-28 |