| NPI | 1629638762 |
|---|---|
| Former Name | EMILY KIRADJIEFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT11374) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014011) |
| 225100000X Physical Therapist (Licence: NC PT21377) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-11-01 |