| NPI | 1578993192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14461) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2018-10-08 |