| NPI | 1568701597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1252441) |
| 225100000X Physical Therapist (Licence: FL PT28102) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2020-02-11 |