| NPI | 1578733754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010466) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 6592) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2024-08-19 |