| NPI | 1609133503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008359) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT36230) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2021-11-04 |