| NPI | 1639457989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT000009164) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2024-03-21 |