| NPI | 1609163252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011046) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT8975) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-01-03 |